4 jobs found

The Population Health RN Inpatient Case Manager (PHRNICM) is responsible for providing complex case management (CCM) to diverse groups of high-risk capitated populations. Complex case management is defined as the coordination of care and services for members who need help navigating the healthcare system to facilitate the appropriate delivery of the right care and services at the right place and time. These services are provided utilizing available resources across a continuum of care and in collaboration with members, caregivers, medical home providers, and ancillary health care providers. NBH utilizes a Population Health approach to identify diverse groups and to enhance member engagement and coordinate care delivery across populations to improve clinical outcomes. In addition to continuum of care responsibilities this position will assist within the inpatient case management department as needed. PRIMARY JOB DUTIES Identify patients who are considered high risk for medical...

At NorthBay Health, the Inpatient Case Manager is to assess, plan, implement, monitor and evaluate options and services to affect an appropriate, individualized plan for hospital patient care across the continuum of care.  The Inpatient Case Manager will follow assigned patients working with team members and Social Services to prioritize and strategize each day’s activities. Using independent judgment and discretion, the patient must be assessed and reassessed as an ongoing process to address the patient’s broad spectrum of needs.  The Inpatient Case Manager utilizes clinical knowledge and competence, positive communication skills, problem solving and conflict resolution techniques, ability to effect change, strong skills in assessment, organization, and time management. The case management process requires a focus on critical thinking skills, customer service skills, setting appropriate goals and measuring outcomes to effectively ensure optimal patient outcomes with...

At NorthBay Health, the Inpatient Case Manager is to assess, plan, implement, monitor and evaluate options and services to affect an appropriate, individualized plan for hospital patient care across the continuum of care.  The Inpatient Case Manager will follow assigned patients working with team members and Social Services to prioritize and strategize each day’s activities. Using independent judgment and discretion, the patient must be assessed and reassessed as an ongoing process to address the patient’s broad spectrum of needs.  The Inpatient Case Manager utilizes clinical knowledge and competence, positive communication skills, problem solving and conflict resolution techniques, ability to effect change, strong skills in assessment, organization, and time management. The case management process requires a focus on critical thinking skills, customer service skills, setting appropriate goals and measuring outcomes to effectively ensure optimal patient outcomes with...

At NorthBay Healthcare the Utilization Management (UM) is a collaborative process which assesses, plans, implements, coordinates, monitors and evaluates options and services to meet an individual’s health needs through communication and available resources to promote quality, cost effective outcomes. UM Case Managers work under the direction of the Manager of UM and the AVP of Care Coordination. UM Case Managers work across the continuum of the system in collaboration with patients, physicians, staff, broker services and administration to ensure appropriate care at the appropriate level to the high-risk members. The UM Case Manager utilizes clinical knowledge and competence, positive communication skills, problem solving and conflict resolution techniques, ability to effect change, strong skills in assessment, organization, and time management. The UM process requires a focus on critical thinking skills, customer service skills, setting appropriate goals and measuring...